Active NPI
Evolvia ABA Services Corp
- Behavior Analyst
- North Fort Myers, FL
National Provider Identifier
1104791276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- EVOLVIA ABA SERVICES CORP
- Practice address
- 1621 N Tamiami TRL Ste 6
North Fort Myers, FL 33903-5567 - Phone
- (305) 206-9200
- NPI assigned
- Oct 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ameirys Betancourt Vazquez, BCBA
- Title
- President
- Phone
- (786) 399-4789
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1621 N Tamiami TRL Ste 6
North Fort Myers, FL 33903-5567
Mailing address
311 NE 19TH Ter
Cape Coral, FL 33909-5253
Phone (305) 206-9200
National Provider Directory
National Provider DirectoryLocations
3979 Northside Cir
Ste 2
North Fort Myers, FL 33903
1621 N Tamiami Trl
Ste 6
North Fort Myers, FL 33903
Phone (305) 206-9200
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Cape Coral, FL
- NPI 1508471210
-
- Behavior Analyst
- Cape Coral, FL
- NPI 1306527346
-
- Behavior Technician
- North Fort Myers, FL
- NPI 1700725553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776729600000",
"number": "1104791276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 NE 19TH TER",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339095253",
"telephone_number": "305-206-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 N TAMIAMI TRL STE 6",
"city": "NORTH FORT MYERS",
"state": "FL",
"postal_code": "339035567",
"telephone_number": "305-206-9200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVIA ABA SERVICES CORP",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-08",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A",
"authorized_official_last_name": "BETANCOURT VAZQUEZ",
"authorized_official_first_name": "AMEIRYS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-399-4789",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.